Title : Wearables and Activity
Abstract:
Introduction/Purpose: Activity trackers monitor activity and health which can track progress in activity within the chronic disease population. The purpose of this study was to validate the step counts of Apple Watch and compare wrist-, hip- and ankle- worn Actigraphs during overground and treadmill walking at different walking intensities using video monitoring of participants with manual counting of steps as a reference.
Methods: Apple Watch and wrist-, hip- and ankle- worn Actigraphs were used for this study. Participants walked on a set track on a flat, overground surface to mimic free-living conditions. Verbal instructions were provided to walk at three different stages (slow, moderate, fast). Subsequently, participants completed a 3-stage treadmill protocol using the calculated average velocity/stage from overground walking. Both conditions were recorded using a Canon VIXIA HF500 camcorder to observe the steps.
Results: Apple Watch, compared to Actigraphs, had the lowest errors (absolute: -2.32, -8.95, and -20.00 steps; relative: -1%, -2% and -5%) during overground walking for all stages, and (absolute: -3.35 and -2.25 steps; relative: -1% and -1%) on the treadmill protocol for the moderate and fast stages.
Conclusion: Apple Watch was an extremely accurate and credible consumer device that can be used by the general population for activity monitoring during overground and treadmill walking. Our study demonstrated the equivalence of step counts during overground and treadmill walking.